也。（厥阴木火主气。故主于三月四月之交。三月阳盛之时。而厥阴主气。故为阳中之阴。邪谓阴气也。厥阴之气在内而
未得尽出。故为 疝腹肿也。张兆璜曰。有因阳气正出而为时气所遏抑者。有因时气正盛而又当阴气所主者。当知奇
恒之阴阳。与四时相逆而为病。）所谓腰脊痛不可以俯仰者。三月一振。荣华万物。一俯而不仰也。（三月阳气振发。万
物荣华。草木繁茂。枝叶下垂。一惟俯而不仰。人为万物之灵。是以腰脊痛而亦不可以俯仰也。）所谓 癃疝肤胀者。曰
阴亦盛。而脉胀不通。故曰 癃疝也。（阴亦盛者。厥阴之气亦盛于外也。阴盛而脉胀不通。故 癃而肤胀也。 癃疝者。
阴器肿而不得小便也。按此篇系伯承上章解释奇病之脉气。乃自相问答之辞。故末节添一曰字。以申明自相问答之意。
张
兆璜曰。曰所谓。曰者者。是设为之问辞。下文是答辞。故增一曰字以别之。）所谓甚则嗌干热中者。阴阳相搏而热。
故嗌干也。（所谓甚者。谓阳气甚盛也。厥阴之气。与甚阳相搏。则阴亦为热矣。热甚故嗌干而热中也。夫人之脏腑阴阳。
与天地四时之气。寒暑往来。交相顺序。惟奇恒之势。各以六十日为首。与四时之气。相逆而为病。故圣人持诊之道。
先后阴阳而持之。先诊阴阳之序。后诊阴阳之奇。审于终始。通于常变。诊道乃具。方可横行。）
（厥阴肝木与相火主令。因此对应于农历三月和四月交替之时。在三月阳气旺盛的时节，而由厥阴主气，所以称为阳中之阴。这里的“邪”指的是阴气。厥阴之气位于体内而不能完全外出，所以导致疝气和腹部肿胀。张兆璜说：有因为阳气正当升发而被时令之气遏制压抑的；有因为时令之气正盛而又正值阴气主事的。应当了解奇恒之阴阳，以及与四时气候相逆从而致病的情况。）
所谓腰脊疼痛不能前后俯仰的，是因为三月阳气振奋，万物荣华，枝叶下垂，只俯而不仰。（三月阳气振发，万物繁荣茂盛，草木繁茂，枝叶下垂，一律只向下俯而不向上仰。人是万物之灵，所以腰脊疼痛也不能够俯仰。）
所谓癃疝和肤胀的，是说阴气也旺盛，导致脉道胀满不通，所以称为癃疝。（阴气也旺盛，是指厥阴之气在外也旺盛。阴气盛而脉道胀满不通，所以出现小便淋漓不畅和皮肤肿胀。癃疝，是指生殖器肿胀且无法排尿。按此篇是伯高承接上一章解释奇病的脉气，是自问自答的文辞，所以在末尾加了一个“曰”字，以申明自问自答的意思。张兆璜说：“曰所谓”，那个“曰”字，是假设的问辞，下文是答辞，所以增加一个“曰”字来加以区别。）
所谓病情严重则咽喉干燥、心中烦热的，是因为阴阳相互搏结而产生热邪，所以咽喉干燥。（所谓严重的情况，是指阳气非常旺盛。厥阴之气与极盛的阳气相互搏结，那么阴气也会化为热邪。热邪严重所以咽喉干燥并且感到心中烦热。人的脏腑阴阳，与天地四时的气候，寒暑往来，交替有序。只有奇恒之势，各自以六十天为首，与四时气候相逆从而致病。所以圣人掌握诊察的方法，先辨别阴阳的顺序，后辨别阴阳的异常。审察疾病的始终，通晓常规与变局，诊法才完备，才可以纵横自如地运用。）
(Jueyin Wood and Ministerial Fire govern the qi. Therefore, it corresponds to the transition between the third and fourth lunar months. During the third month when Yang qi is abundant, yet Jueyin governs the qi, it is thus termed Yin within Yang. Here, "pathogen" refers to Yin qi. The Jueyin qi resides internally but fails to fully emerge externally, thereby causing hernia (Shan) and abdominal swelling. Zhang Zhaohuang stated: There are cases where Yang qi, while ascending, is suppressed by seasonal factors; there are also cases where seasonal qi is at its peak while simultaneously being governed by Yin qi. One must understand the Yin and Yang of the extraordinary (Qiheng), and how they deviate from the four seasons to cause disease.)
Regarding the statement that waist and spine pain prevents flexion and extension: In the third month, Yang qi vibrates and stimulates growth, and all things flourish. Leaves and branches hang downward, exhibiting only flexion without extension. As humans are the spirit of all things, their waist and spine also suffer pain and inability to flex or extend.
Regarding the statement about strangury (Long), hernia (Shan), and cutaneous distension: It indicates that Yin qi is also abundant, causing vessel distension and obstruction, hence termed strangury and hernia. "Yin qi is also abundant" means the Jueyin qi is abundant externally. When Yin is excessive and vessels are distended and obstructed, strangury and cutaneous distension occur. Strangury and hernia refer to swelling of the genital organs accompanied by an inability to urinate. Note: This section serves as Bo Gao's continuation of the previous chapter, explaining the pulse qi of extraordinary diseases through a self-posed question and answer format. Thus, the character "Yue" (said) is added at the end to clarify this rhetorical structure. Zhang Zhaohuang noted: The phrase "Yue Suowei" uses "Yue" as a hypothetical question marker, with the following text serving as the answer; hence, the addition of "Yue" distinguishes the question from the answer.)
Regarding the statement that severe cases manifest as dry throat and internal heat: This occurs because Yin and Yang contend, generating heat, which leads to a dry throat. "Severe" refers to the extreme abundance of Yang qi. When Jueyin qi contends with excessive Yang qi, Yin qi transforms into heat. Severe heat results in a dry throat and internal heat. The Yin and Yang of human viscera and bowels correspond with the Qi of Heaven and Earth and the four seasons, with cold and heat alternating in sequence. However, the patterns of the extraordinary (Qiheng) begin every sixty days, opposing the four seasons and causing disease. Therefore, the sages mastered the art of diagnosis by first discerning the order of Yin and Yang, and subsequently identifying anomalies in Yin and Yang. By examining the beginning and end of diseases and understanding both routine and variable conditions, the Dao of diagnosis becomes complete, allowing for mastery in clinical practice.)